| NPI | 1154024917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CARL ANDERSON Licensed Mental Health Counselor 716-307-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |